NPI 1841364882

Jackson Hole Obgyn PC

Organisation Midwife Jackson, WY

Practice location

Address: 555 E Broadway STE 201, Jackson, WY 83001
Phone: (307) 733-8537
Mailing address: PO Box 15570, Jackson, WY 83002

Authorised official

Name: Roger Malcom Brecheen
Title: Owner
Phone: (307) 733-8537

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X

Other Midwife providers in Wyoming →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Wyoming →

Registry record

NPI: 1841364882
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.